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Laryngeal polyp associated with reflux disease: a case report
1Department of Pathology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. w.hassan@sr.edu.sa.
Journal of Medical Case Reports
|January 5, 2020
Summary
Gastroesophageal reflux disease (GERD) can cause extraesophageal symptoms like laryngeal polyps. Pathological findings in a young patient
Area of Science:
- Otolaryngology
- Gastroenterology
Background:
- Vocal nodules and polyps are common benign laryngeal lesions, often linked to vocal abuse.
- Gastroesophageal reflux disease (GERD) can manifest extraesophageally, including laryngeal polyps.
Observation:
- A 24-year-old woman presented with dysphonia and dyspepsia, diagnosed with severe GERD.
- Laryngoscopy revealed a left vocal cord polyp, which was surgically removed.
- Histopathology showed a telangiectatic laryngeal polyp with specific cellular and vascular changes.
Findings:
- The laryngeal polyp exhibited hyperplastic epithelium with reactive atypia.
- Microscopic examination revealed acanthosis, neutrophils, chronic inflammation, and thrombosed vessels.
Implications:
- Recognizing these pathological changes in laryngeal polyps may assist in diagnosing GERD.
- This case highlights the link between GERD and specific laryngeal pathologies.
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